Organization
BRIGHTON RADIOLOGY ASSOCIATES, P.C.
Active
Organization
BRIGHTON RADIOLOGY ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE LEE SIMMONS (EXECUTIVE DIRECTOR)
(724) 728-6284
Entity
Organization
Contact information
Practice address
1000 DUTCH RIDGE RD, THE MEDICAL CENTER, BEAVER, PA 15009-9727
(724) 773-4567
(724) 728-9729
Mailing address
300 S WALNUT LN, SUITE 100, BEAVER, PA 15009-1739
(724) 728-6539
(724) 728-7416
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006873370
—
PA
05
—
0006873370004
—
PA
05
—
0562207
—
OH
05
—
3810003808
—
WV
Enumeration date
01/04/2006
Last updated
05/02/2008
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